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To theorize upon this observation, some have suggested that due to a tear in the back of the joint capsule, the articular disc may be displaced forwards (anterior disc displacement), stopping the upper head of lateral pterygoid from acting to stabilize the disc as it would do normally.
The mesenchyme around the joint begins to form the fibrous joint capsule. Very little is known about the significance of newly forming muscles in joint formation. The developing superior head of the lateral pterygoid muscle attaches to the anterior portion of the fetal disk.
The greater petrosal nerve also conveys some special sensory nerve fibres which carry gustatory (taste) sensory information from the palate [1]: 22 that are relayed to the pterygopalatine ganglion by the lesser palatine nerves and are in turn conveyed to the geniculate ganglion by the greater petrosal nerve to synapse in the ganglion.
The lateral pterygoid plate of the sphenoid (or lateral lamina of pterygoid process) is broad, thin, and everted and forms the lateral part of a horseshoe like process that extends from the inferior aspect of the sphenoid bone, and serves as the origin of the lateral pterygoid muscle, which functions in allowing the mandible to move in a lateral and medial direction, or from side-to-side.
Rarely, pathogenic micro-organisms from the mouth may be seeded into the pterygomandibular space during this injection and cause a needle tract infection of the space. [1] It is also occasionally reported that the needle breaks off and is retained in the pterygomandibular space during this injection. [ 3 ]
Anteromedial relations: The gland is situated posterolaterally to the mandibular ramus, masseter, and medial pterygoid muscles. A part of the gland may extend between the ramus and medial pterygoid, as the pterygoid process. Branches of the facial nerve and parotid duct emerge through this surface.
In the head and neck, potential spaces are primarily defined by the complex attachment of muscles, especially mylohyoid, buccinator, masseter, medial pterygoid, superior constrictor and orbicularis oris. [6] Infections involving fascial spaces of the head and neck may give varying signs and symptoms depending upon the spaces involved.
This arch divides into a maxillary process and a mandibular process, giving rise to structures including the bones of the lower two-thirds of the face and the jaw. The maxillary process becomes the maxilla (or upper jaw, although there are large differences among animals [11]), and palate while the mandibular process becomes the mandible or lower jaw.